# TYREECE GENEAN JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447057294
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 172V00000X | Community Health Worker | — | — | — |
| 174H00000X | Health Educator | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | — | — |

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 12/11/2025